Advanced Techniques in Dermatologic Surgery - part 5 potx

... mucosalsurfaces 50 mg (A)Topicaineb4% Lidocaine Micro-emulsion30–60 Yes Yes Rapid onset,cost-effectiveMore clinicaltrials needed20Â 15 inches (A)S-Caine 7% Lidocaine:7%TetracaineÕOil -in- water30–60 ... cream during erbium laser resur-facing. Derm Surg 1999; 25( 7) :59 0 59 1.43. McKinlay JR, Hofmeister E, Ross EV, Mac Allister W. EMLA cream-induced eyeinjury. Arch Dermatol 1999; 1 35: 855 – 856 .44. ... a 30-minute applica-tion of the S-Caine Peel is efficacious in relieving the pain caused by var-ious laser procedures. A randomized, double-blinded, placebo-controlledtrial with the S-Caine...

... more effec-tive. In a prospective, randomized, double-blind, parallel-group, dose-ranging study of 48 weeks, 60 women received 16, 32, or 48 U BTX-A Advanced Cosmetic Use of Botulinum Toxin Type ... more effective, longer-lasting results,especially in the mid- and lower face. Fagien and Brandt ( 25) found thatBTX-A in patients undergoing soft-tissue augmentation in certain facialareas, (i.e., ... BTX-B 50 00 U/mL and is available in 0 .5, 1.0, and 2.0 mL vials containing BTX-B,saline, human serum albumin, and sodium succinate as a buffer to preserveacid pH. The pH is approximately 5. 6,...

... of urinary stress incontinenceusing paraurethral injection of autologous fat. Arch Esp Urol 1991; 44 :59 5–600. 50 . Shafik A. Perianal injection of autologous fat for treatment of sphincteric incontinence.Dis ... epinephrine ( 15) . A few authors recommend the use ofRinger’s lactate rather than normal saline, reasoning that glucose-containing solutions may enhance fat-cell viability (16,21).HARVESTING ... Fat injection into muscles has also been helpful in other fields of medicine. In otolar yngology, fat has been injected intothe vocal cords , resulting in improved muscle function (46–48). In...

... foot’’and continue with the infraciliary skin incision using Westcott scissors todissect the skin and the underlying orbicularis muscle. The infraciliaryskin incision ends 2 mm beneath the inferior ... laser-assisted blepharoplasty ofthe upper and lower eyelid (transconjunctivally) in combination withUPCO2laser skin resurfacing of the periorbital skin is the state-of-the-arttechnique in ... afterturning into levator aponeurosis, inserts into the anterior surface of the tar-sal plate. Anterior extension of the aponeurotic fibers inserts into the eyelidskin beginning 2 mm above...

... using a long-pulse dyelaser at 59 5 nm. Lasers Surg Med 1997; 20:1 5. 27. Alora MB, Herd RH, Szabo E. Comparison of the 59 5 nm long pulse (1 .5 ms) and the 59 5 nm ultra-long pulse (4 ms) laser in ... CA,U.S.A.)Lumenis(SantaClara,CA,U.S.A.)Nidek(Fremont,CA,U.S.A.)Palomar(Burling-ton, MA,U.S.A.)Wavelength(nm)810 800 940 800 800 810 810Pulseduration(msec) 5 30 50 50 0 10 tocontinu-ous 5 100 5 100 200 50 –100Maximumfluence(J/cm2)64 50 600 5 60 10–60 ... persistentport wine stains. Dermatol Surg 19 95; 21 :51 51 55 21.8. Dierickx CC, Casparian JM, Venugopalan V, Farinelli WA, Anderson RR. Thermalrelaxation of port wine stain vessels probed in vivo: the...

... to sustained collagen synthesis in the dermis.This is in contradistinctio n to traditional techniques of laser resur-facing, which involve eliminating the epidermis and causing dermal injuryseveral ... from the capil-laries to the surrounding tissue resulting in nonselective thermal injury.As a part of remodeling and wound healing process, there is an increase in collagen and elastin deposition ... occurred in five sites following theinitial treatmen t; three cases of pinpoint bleeding were recorded (one fol-lowing the initial treatment and two at eight weeks), and one instance ofpostinflammatory...

... pulse(msec)Fluence(J/cm2)< 0.2 55 0 2.4 10 2.4 25 35 0.2–0 .5 550 57 0 2.4 15 4–6 25 400.6–1 57 0 59 0 2.4–3 15 6 30–401–1 .5 570 59 0 2.4–3 15 25 7–12 35 45 1 .5 2.0 59 0 8 20 50 8–12 40–60Unresponsive at> 2mm 59 0 Long ... head to eliminate wave-lengths lower than that of the filter. Available cut-off filters are of 51 5, 55 0, 56 0, 57 0, 59 0, 6 15, 6 45, 690, and 755 nm. For faster recycling times,certain optical heads ... photorejuvena-tion in 97 Japanese patients using 55 0- to 57 0-nm cut-off filters (55 0and 57 0 nm for pigment and telangiectasia, respectively). Patients weretreated three to six times at two- to three-week...

... technique, we routinely inject up to 800 mL of0.1% to 0.2% lidocaine with epinephrine. Infusion of lidocaine, by usingthe tumescent formula of 0.1% lidocaine with 1:1,000,000 epinephrine in the concentration ... cc of 1%lidocaine without epinephrine is injected at the pre-marked site. WithDuplex guidance, a 16-gauge needle is inserted through the skin andguided into the saphenous vein. When venous ... allow for a 5- to 7-min pullback as the surround-ing structures are pushed away from the treated vein and there is a verylarge capacity heat sink around the targeted saphenous vein. 356 Weiss...

... vein, 352 – 354 clinical technique, 355 – 357 duplex guide cannulation, 350 – 352 endovenous elimination, 347–363follow-up care, 355 – 357 RespolastÕ,47RestylaneÕ, 52 54 Reticular veins, sclerosing ... 1 95 Polyacrylamide (AquamidÕ), 60Poly-L-lactic acidNew FillÕ, 58 59 SculptraÕ, 58 59 soft-tissue fillers, permanent types, 58 59 PolymethylmethacrylateArtecollÕ, 55 57 ArtefillÕ, 55 57 soft-tissue ... the post-operative pain incidence. We believe that effective energyfor vein sealing in our practice is mostly between 5 and 6, thus minimi-zing post-operative pain to less than 5% . In summary,...